Organization
BISYATA DISHMAYA MANAGEMENT SERVICES INC.
Active
Other names
Teitelbaum C-Ped
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL D. TEITELBAUM PEDORTHIST (OWNER)
(718) 782-0600
Entity
Organization
Contact information
Practice address
41 MAIN ST STE 4, MONSEY, NY 10952-3054
(718) 782-0600
(718) 782-0611
Mailing address
928 46TH ST # 1, BROOKLYN, NY 11219-2331
(718) 782-0600
(718) 782-0611
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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